MEDICARE: DR. LOUIS NAGI AWAD D.P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	J10002848	DE

General Provider Information

NPI Number	:	1265797864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS NAGI AWAD D.P.T.

Provider Business Mailing Address
First Line	:	2305 SAINT FRANCIS ST
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19808-4041
Country	:	US
Telephone Number	:	551-404-4054
Fax Number	:

Provider Business Practice Location Address
First Line	:	2305 SAINT FRANCIS ST
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19808-4041
Country	:	US
Telephone Number	:	551-404-4054
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2012
Last Update Date	:	07/10/2012

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